A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the
following actions should the nurse take to reduce the risk of aspiration?
a) burp the infant once at the end of the feeding
b) use a bottle that has a two way valve
c) place a low-flow rate nipple on the bottle
d) squeeze the infants cheeks together while feeding
• D) squeeze the infants cheeks together while feeding
* nurse should identify that an infant who has a cleft lip will have difficulty in
obtaining an adequate seal during feeding. nurse should gently squeeze the
infants cheeks together to decrease the width of the cleft allowing the infant to
achieve a better seal, which reduces risk of aspiration
A nurse is preparing a health promotion seminar for a group of clients about cancer
prevention. Which of the following information should the nurse include?
a) consume high-calorie foods and beverages at meal time
b) eat at least 2.5 cups of fruits and vegetables each day
c) plant to perform moderate-intensity exercise for 90 minutes/week
d) limit alcohol consumption to no more than 3 drinks per day
• B) Eat at least 2.5 cups of fruits and vegetables each day
* The nurse should include in the teaching that clients should eat at least 2.5
cups of fruits and vegetables daily to help maintain body weight and reduce
risk for cancer of the lungs and gastrointestinal system
6 Ways to Show Appreciation for Your Child's Teacher
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A nurse is teaching a client about stress management. Which of the following
statements by the client indicates an understanding of the teaching?
a) I will take a long walk every evening
b) I will keep a daily diet and activity log
c) I will avoid eating 1 hr before each bedtime
d) I will drink a full glass of water with each meal
• I will take a long walk every evening
* Exercise has many benefits including reduction of tension, promotion of
relaxation and improved sense of well being. All of these will assist the client
in stress management
A nurse is providing dietary instructions for a client who has a prescription for
warfarin. Which of the following foods should the nurse recommend the client eat in
moderation while taking this medication?
a) leafy green vegetables
b) whole grains
c) fruits with skin
d) nuts and seeds
, • leafy green vegetables
* the nurse should recommend the client eat in moderation and maintain
consistent intake of leafy green veggies which contain a natural form of vit k
that can negate the anticoagulation effects of warfarin
A nurse in a long term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following findings should the nurse identify as the
priority?
a) the client eats all their cake and a few bites of bread
b) the client drools while eating
c) the clients hand trembles when they hold their spoon
d) the client chooses to sit alone during the meal
• b) the client drools while eating
* drooling while eating can indicate that this client is at greatest risk for
aspiration of food from dysphagia, which can lead to pulmonary
complications: therefore nurse should identify this as a priority problem
A nurse is reviewing the laboratory values of a group of clients. Which of the
following clients should the nurse identify as experiencing dehydration?
a) a client who has a potassium level of 4.4 mEq/L
b) a client who has a hematocrit of 45%
c) a client who has a sodium level of 150 mEq/L
d) a client who has a BUN of 18 mg/dL
• c) a client who has a sodium level of 150 mEq/L
* the nurse should identify that a sodium level of 150 mEq/L is above
expected reference range of 136-145 mEq/L and indicates hypernatremia.
Hypernatremia often called water diuretic is a decrease of sodium
concentration in blood caused by excess of water. Manifestations of
hypernatremia include: confusion, headache, nausea, and fatigue
A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of
8.7%. Which of the following statements by the client indicates an understanding of
this laboratory value?
a) I should have gone to my exercise class yesterday
b) This shows that my results is finally within a normal range
c) This shows that I have not been following my diet
d) I should have my blood work done first thing in the morning
• c) This shows that I have not been following my diet
* An HbA1c level of 8.7% is not within the expected reference range. The
HbA1c goal level for a client who has diabetes is between 6.5-7%
A nurse is caring for a client who has undergone a radical head and neck resection
to treat cancer and is receiving radiation therapy. The nurse should monitor for which
of the following potential adverse effects?
a) bone marrow suppression
b) radiation enteritis
c) malabsorption of nutrients
d) changes in the production of saliva
• d) changes in the production of saliva